Evidence map›Paper›PMID 31924245›Full record

ArticleVirology journal2020

Early fulminant BK polyomavirus-associated nephropathy in two kidney transplant patients with low neutralizing antibody titers receiving allografts from the same donor.

Elias Myrvoll Lorentzen, Stian Henriksen, Amandeep Kaur, Grete Birkeland Kro, Clara Hammarström, Hans H Hirsch, Karsten Midtvedt, Christine Hanssen Rinaldo

Open access · goldAbstract readCase Reports
In one paragraph

Article in Virology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Cellular Immunity Against BK Polyomavirus in Kidney Transplant Recipients: A Comprehensive Review.Transplant infectious disease : an official journal of the Transplantation Society
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Elias Myrvoll LorentzenDepartment of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway.
Stian HenriksenDepartment of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway.
Amandeep KaurDepartment Biomedicine Transplantation & Clinical Virology, University of Basel, Basel, Switzerland.
Grete Birkeland KroDepartment of Microbiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Clara HammarströmDepartment of Pathology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Hans H HirschDepartment Biomedicine Transplantation & Clinical Virology, University of Basel, Basel, Switzerland.
Karsten MidtvedtDepartment of Transplantation, Medicine, Section of Nephrology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Christine Hanssen RinaldoDepartment of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway. christine.rinaldo@unn.no.ORCID 0000-0002-6970-6728
Oslo University Hospital · NOUniversity Hospital of North Norway · NOUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBK Polyomavirus (BKPyV) causes premature graft failure in 1 to 15% of kidney transplant (KT) recipients. High-level BKPyV-viruria and BKPyV-DNAemia precede polyomavirus-associated nephropathy (PyVAN), and guide clinical management decisions. In most cases, BKPyV appears to come from the donor kidney, but data from biopsy-proven PyVAN cases are lacking. Here, we report the early fulminant course of biopsy-proven PyVAN in two male KT recipients in their sixties, receiving kidneys from the same deceased male donor. CASE PRESENTATIONS: Both recipients received intravenous basiliximab induction, and maintenance therapy consisting of tacrolimus (trough levels 3-7 ng/mL from time of engraftment), mycophenolate mofetil 750 mg bid, and prednisolone. At 4 weeks post-transplant, renal function was satisfactory with serum creatinine concentrations of 106 and 72 μmol/L in recipient #1 and recipient #2, respectively. Plasma BKPyV-DNAemia was first investigated at 5 and 8 weeks post-transplant being 8.58 × 10

conclusionsLow titers of genotype-specific neutralizing antibodies in recipients pre-transplant, may identify patients at high risk for early fulminant donor-derived BKPyV-DNAemia and PyVAN, but development of high neutralizing antibody titers may not be sufficient for clearance.

Indexed as

Kidney TransplantationAdultAgedAllograftsAntibodies, NeutralizingBK VirusDNA, ViralHumansKidneyKidney DiseasesMaleMiddle AgedNephrosisPolyomavirus InfectionsTransplant RecipientsViremiaAntibodies, NeutralizingDNA, ViralBK polyomavirusBKPyV-DNAemiaKidney transplantationNeutralizing antibodiesPyVAN

Identifiers

PMID31924245
PMCPMC6954500
OpenAlexW3000241399

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.